Reside, Jonathan Michael
Reside, Jonathan Michael is an sole proprietor health care provider with primary practice located at 79 Falling Springs Dr Ste 110 , Chapel Hill NC 27516-8493. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Reside, Jonathan Michael can be contacted via phone (919) 636-9717.Contact Information
Primary practice address
79 Falling Springs Dr Ste 110
Chapel Hill NC 27516-8493
Phone: (919) 636-9717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8801 | North Carolina |
| Dental Providers / Periodontics | 1223P0300X | 8801 | North Carolina |
Profile Details
| NPI number | 1538395173 |
|---|---|
| LBN Legal business name | Reside, Jonathan Michael |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Nov 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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